Organization
BOONE MEMORIAL HOSPITAL, INC
Active
Parent organization
BOONE MEMORIAL HOSPITAL, INC
Other names
BMH Brighter Futures
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOONE MEMORIAL HOSPITAL, INC
Authorized official
VIRGIL UNDERWOOD (CEO)
(304) 369-1230
Entity
Organization
Contact information
Practice address
467 MAIN ST STE 3, MADISON, WV 25130-2200
(304) 369-1230
Mailing address
701 MADISON AVE, MADISON, WV 25130-1699
(304) 369-1230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/28/2019
Last updated
10/06/2023
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